Wondrous Kids LLC

NPI #1275124273 in Sand Springs, Oklahoma

Provider Information

NPI Number: 1275124273
Entity Type: Organization
Organization Name: Wondrous Kids LLC
Primary Specialty: Occupational Therapist - Pediatrics
Enumeration Date: Feb 1, 2021
Last Updated: Feb 1, 2021

Practice Location

Address: 1211 NEW PRUE RD
City: Sand Springs
State: Oklahoma
ZIP Code: 74063-9024
Phone: (918) 231-5784

Authorized Official

Name: MR. ADAM BRAZEAL
Title: OFFICE MANAGER
Phone: (918) 231-5784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant	224Z00000X
Physical Therapist - Pediatrics — Pediatrics	2251P0200X
Physical Therapy Assistant	225200000X
Speech-Language Pathologist	235Z00000X
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X	Primary

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